You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0001B | Application for Benefits Addendum (English) | 01/01/2024 |
FAA-0001B-S | Application for Benefits Addendum (Spanish) | 01/01/2024 |
FAA-1097B | Foster Care Age Out Tribal Referral Form (English) | 12/01/2023 |
FAA-1097A | Foster Care Age Out Referral Form (English) | 12/01/2023 |
FAA-1513A-LP | Time Savings Tips (Large Print) | 07/01/2023 |
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
FAA-1492A | Authorized Representatives - Rights & Responsibilities (English) | 07/01/2023 |
FAA-1513A-XLP | Time Savings Tips (Extra Large Print) | 07/01/2023 |
FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
FAA-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
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Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification